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Commercially insurable risks typically share
seven common characteristics.
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A large number of homogeneous exposure
units. The vast majority of insurance policies are
provided for individual members of very large classes. Automobile insurance,
for example, covered about 175 million automobiles in the United States in
2004. The existence of a large number of homogeneous exposure units allows
insurers to benefit from the so-called “law of large numbers,” which in
effect states that as the number of exposure units increases, the actual
results are increasingly likely to become close to expected results. There
are exceptions to this criterion. Lloyd's of London is famous for insuring
the life or health of actors, actresses and sports figures. Satellite Launch
insurance covers events that are infrequent. Large commercial property
policies may insure exceptional properties for which there are no
‘homogeneous’ exposure units. Despite failing on this criterion, many
exposures like these are generally considered to be insurable.
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Definite Loss.
The event that gives rise to the loss that is subject to insurance should,
at least in principle, take place at a known time, in a known place, and
from a known cause. The classic example is death of an insured on a life
insurance policy. Fire, automobile accidents, and worker injuries may all
easily meet this criterion. Other types of losses may only be definite in
theory. Occupational disease, for instance, may involve prolonged exposure
to injurious conditions where no specific time, place or cause is
identifiable. Ideally, the time, place and cause of a loss should be clear
enough that a reasonable person, with sufficient information, could
objectively verify all three elements.
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Accidental Loss.
The event that constitutes the trigger of a claim should be fortuitous, or
at least outside the control of the beneficiary of the insurance. The loss
should be ‘pure,’ in the sense that it results from an event for which there
is only the opportunity for cost. Events that contain speculative elements,
such as ordinary business risks, are generally not considered insurable.
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Large Loss.
The size of the loss must be meaningful from the perspective of the insured.
Insurance premiums need to cover both the expected cost of losses, plus the
cost of issuing and administering the policy, adjusting losses, and
supplying the capital needed to reasonably assure that the insurer will be
able to pay claims. For small losses these latter costs may be several times
the size of the expected cost of losses. There is little point in paying
such costs unless the protection offered has real value to a buyer.
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Affordable Premium.
If the likelihood of an insured event is so high, or the cost of the event
so large, that the resulting premium is large relative to the amount of
protection offered, it is not likely that anyone will buy insurance, even if
on offer. Further, as the accounting profession formally recognizes in
financial accounting standards (See FAS 113 for example), the premium cannot
be so large that there is not a reasonable chance of a significant loss to
the insurer. If there is no such chance of loss, the transaction may have
the form of insurance, but not the substance.
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Calculable Loss.
There are two elements that must be at least estimable, if not formally
calculable: the probability of loss, and the attendant cost. Probability of
loss is generally an empirical exercise, while cost has more to do with the
ability of a reasonable person in possession of a copy of the insurance
policy and a proof of loss associated with a claim presented under that
policy to make a reasonably definite and objective evaluation of the amount
of the loss recoverable as a result of the claim.
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Limited risk of catastrophically large
losses. The essential risk is often aggregation.
If the same event can cause losses to numerous policyholders of the same
insurer, the ability of that insurer to issue policies becomes constrained,
not by factors surrounding the individual characteristics of a given
policyholder, but by the factors surrounding the sum of all policyholders so
exposed. Typically, insurers prefer to limit their exposure to a loss from a
single event to some small portion of their capital base, on the order of 5
percent. Where the loss can be aggregated, or an individual policy could
produce exceptionally large claims, the capital constraint will restrict an
insurers appetite for additional policyholders. The classic example is
earthquake insurance, where the ability of an underwriter to issue a new
policy depends on the number and size of the policies that it has already
underwritten. Wind insurance in hurricane zones, particularly along coast
lines, is another example of this phenomenon. In extreme cases, the
aggregation can affect the entire industry, since the combined capital of
insurers and reinsurers can be small compared to the needs of potential
policyholders in areas exposed to aggregation risk. In commercial fire
insurance it is possible to find single properties whose total exposed value
is well in excess of any individual insurer’s capital constraint. Such
properties are generally shared among several insurers, or are insured by a
single insurer who syndicates the risk into the reinsurance market.
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